Health Case Navigator (Remote)

CVS Health; Oregon; Hybrid; USD 29,000 - 56,000; Full time

Benefits offered by this job

Bonus eligibility

Job summary

CVS Health is seeking a Case Management Coordinator to work from home with travel in Arizona. The role involves coordinating care, documenting activities, and supporting members with evidence-based care and medical necessity criteria.

Responsibilities include evaluating member needs, aligning with benefit plans, and coordinating care plans with internal and external providers. A Bachelor's degree (or RN license in AZ) and experience in case management are required.

Qualifications

• 2+ years of experience in case management for individuals with serious mental illness and/or disabilities.
• Must reside in Pinal County, Arizona.
• Ability to travel up to 50% within Pinal and Maricopa Counties, Arizona.

Responsibilities

• Coordinate, document, and communicate all aspects of the utilization/benefit management program.
• Evaluate referred members' needs/eligibility and recommend approaches within benefit plans.
• Identify high-risk factors and facilitate appropriate referrals and care planning.
• Monitor care plan progress and coordinate assigned activities.

Skills

Strong organizational skills

Time management

Bilingual English/Spanish

Proficient in Microsoft Office Suite

Education

Bachelor's degree in Social Work, Psychology, Special Education, or Counseling

Licensed RN (Arizona)

Tools

Outlook

Word

Excel

Job description

CVS Health is seeking a Case Management Coordinator to work from home with travel in Arizona. The role involves coordinating care, documenting activities, and supporting members with evidence-based care and medical necessity criteria.

Responsibilities include evaluating member needs, aligning with benefit plans, and coordinating care plans with internal and external providers. A Bachelor's degree (or RN license in AZ) and experience in case management are required.